Active NPI
Roger G Nissen, M.D.
- Cardiovascular Disease Physician
- Arlington HTS, IL
National Provider Identifier
1952308587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Practice address
- 880 W Central Rd
Suite 7100
Arlington HTS, IL 60005-2355 - Phone
- (847) 392-7810
- Fax
- (847) 392-7834
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | IL | Primary |
Addresses
Primary practice location
880 W Central Rd
Suite 7100
Arlington HTS, IL 60005-2355
Mailing address
880 W Central Rd
Suite 7100
Arlington HTS, IL 60005-2355
Phone (847) 392-7810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036043923 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Community Hospital | Past | Accepting new patients | |
| Fahey Medical Center S.C. | Past | Accepting new patients | |
| American Home Visiting Physicians | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Des Plaines, IL
- NPI 1144525510
-
- Clinic/Center
- Des Plaines, IL
- NPI 1780735977
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1952308587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 W CENTRAL RD",
"address_2": "SUITE 7100",
"city": "ARLINGTON HTS",
"state": "IL",
"postal_code": "600052355",
"telephone_number": "847-392-7810",
"fax_number": "847-392-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 W CENTRAL RD",
"address_2": "SUITE 7100",
"city": "ARLINGTON HTS",
"state": "IL",
"postal_code": "600052355",
"telephone_number": "847-392-7810",
"fax_number": "847-392-7834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISSEN",
"first_name": "ROGER",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington HTS, IL
- Marta Micko, MA, LCPC
- Midwest Physical Therapy Ctr
- Marianne Julie Migliorisi, R.PH C.G.P
- Matthew Dean Monson, D.C.
- Charlotte Elizabeth Neumann, OTRL
- Northwest Hearing Centers-Arlington, LLC
- Northwest Orthopedic Surgery, S.C.
- Northwest Suburban Medical Associates, SC.
- Northwest Women'S Consultants, S.C.
- Tammy Ellen Novak, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.